How much rates vary
Facilitymedian $4,169 · 10th to 90th $1,862 to $19,498Professionalmedian $3,311 · 10th to 90th $1,072 to $13,804
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,041.74 Median $4,897.79 Typical High $12,882.50 | Facility | None | $2,041.74 | $4,897.79 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $2,754.23 | Professional | None | $1,862.09 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $3,235.94 Typical High $8,912.51 | Facility | None | $2,238.72 | $3,235.94 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,230.27 Median $4,365.16 Typical High $8,511.38 | Professional | None | $1,230.27 | $4,365.16 | $8,511.38 |
Blue Shield Setting Facility Modifier None Typical Low $3,235.94 Median $14,125.38 Typical High $26,915.35 | Facility | None | $3,235.94 | $14,125.38 | $26,915.35 |
Blue Shield Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $3,090.30 | Professional | None | $831.76 | $1,174.90 | $3,090.30 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $2,754.23 | Professional | None | $1,445.44 | $1,659.59 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $6,165.95 | Facility | None | $1,548.82 | $3,311.31 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,187.76 Typical High $9,772.37 | Professional | None | $1,202.26 | $2,187.76 | $9,772.37 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,454.71 | Professional | None | $1,621.81 | $1,995.26 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $1,995.26 Typical High $4,897.79 | Professional | None | $1,659.59 | $1,995.26 | $4,897.79 |
Lucent Health Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $13,803.84 | Professional | None | $9,120.11 | $9,120.11 | $13,803.84 |
Molina Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Providence Setting Facility Modifier None Typical Low $1,698.24 Median $2,951.21 Typical High $5,888.44 | Facility | None | $1,698.24 | $2,951.21 | $5,888.44 |
Providence Setting Professional Modifier None Typical Low $1,202.26 Median $2,290.87 Typical High $9,772.37 | Professional | None | $1,202.26 | $2,290.87 | $9,772.37 |
Sutter Health Plus Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,819.70 | Facility | None | $758.58 | $758.58 | $1,819.70 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $7,244.36 | Professional | None | $758.58 | $1,096.48 | $7,244.36 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $1,023.29 Median $2,691.53 Typical High $6,456.54 | Facility | 52 · Reduced service | $1,023.29 | $2,691.53 | $6,456.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $416.87 Median $1,071.52 Typical High $2,570.40 | Facility | 53 · Discontinued | $416.87 | $1,071.52 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $851.14 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $851.14 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $346.74 | $426.58 | $426.58 |
Where California sits
The same service costs 4.3 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 2nd of 51
$3,548
AK $4,074AL $955
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.